PROSTHETIC AND IMPLANTS DENTISTRY PC NPI 1013216639

NPI Information

  • NPI: 1013216639
  • Provider Name: PROSTHETIC AND IMPLANTS DENTISTRY PC
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • Address: 1206 S WASHINGTON AVE
    ROYAL OAK, MI
    ZIP 48067
  • Phone: (248) 399-8600

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NPI Details

PROSTHETIC AND IMPLANTS DENTISTRY PC is a prosthodontics dentist in Royal Oak, MI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. PROSTHETIC AND IMPLANTS DENTISTRY PC NPI is 1013216639. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1206 S WASHINGTON AVE
ROYAL OAK, MI
ZIP 48067-222
Phone: (248) 399-8600
Fax: (248) 399-8613

The provider's authorized official is Kathryn Smith .
The authorized official title is Office Manager and has the following contact phone number (248) 399-8600.

The enumeration date for this NPI number is 3/22/2011 and was last updated on 3/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics2901019637MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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